180000000550.pdf

STATE OF MICHIGAN PROCUREMENT

Department Technology, Management and Budget Central Procurement Services 320 S Walnut Street Lansing, MI 48933 P.O. Box 30026, Lansing, MI 48909

CONTRACT CHANGE NOTICE

Change Notice Number 14 to

Contract Number MA180000000550

C O

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GAINWELL TECHNOLOGIES LLC

225 East John Carpenter Freeway Suite 500

Irving TX 75062

Thomas Drzich

(312)404-3601 thomas.drzich@gainwelltechnologies.co m

CV0063037

ST

AT

E

Pr og ra m

M an ag er

Various Various

C on tr ac t Ad m in is tr at or Patrick Russell DTMB

(517) 648-7767 russellp2@michigan.gov

CONTRACT SUMMARY

MDHHS Office of Audit (OA) systems Maintenance & Support and Enhancements

INITIAL EFFECTIVE DATE

May 1, 2018

INITIAL EXPIRATION DATE

April 30, 2023

INITIAL AVAILABLE OPTIONS

3 - 1 Year

EXPIRATION DATE BEFORE

April 30, 2026

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS

P-Card Direct Voucher (PRC) Other

EXTENDED PURCHASING

Yes No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION

1 Years

REVISED EXP. DATE

April 29, 2027

CURRENT VALUE

$10,307,533.39

VALUE OF CHANGE NOTICE

$0.00

ESTIMATED AGGREGATE CONTRACT VALUE

$10,307,533.39

DESCRIPTION

Please note the Program Manager or Contract Administrator may have changed, and are reflected on this Change Notice.

Effective 03/17/2026, The parties herby agree to extend the Contract term by 1 year. The revised contract expiration date is 4/29/2027. At this time, no additional funding is needed.

Please note that the Contract Administrator is Patrick Russell.

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency agreement, DTMB Central Procurement Services approval, and State Administrative Board approval on 03/17/2026.

CHANGE NOTICE NO. 14 TO CONTRACT NO. MA180000000550

Program Managers for

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov

MDHHS Shannah Havens 517-241-8914 HavensS2@michigan.gov

STATE OF MICHIGAN

CENTRAL PROCUREMENT SERVICES

Department of Technology, Management, and Budget

320 S. WALNUT ST., LANSING, MICHIGAN 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 13 to

180000000550Contract Number

Various

Katelyn LaHaye campbell@gainwelltechnologies.com

M. David Campbell, II

Conway, AZ 72034

GAINWELL TECHNOLOGIES LLC

VS0155947

517-214-8581

335 Ledgelawn Drive

(517) 388-7422 S

T A

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P ro g ra m

M a n a g e r

C o n tra ct

A d m in istra to r

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DTMB

lahayek@michigan.gov

$10,307,533.39

May 1, 2018 April 30, 2026

MDHHS OFFICE OF AUDIT (OA) SYSTEMS MAINTENANCE & SUPPORT AND ENHANCEMENTS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2026

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $10,307,533.39

Effective November 21, 2022, the following amendment is hereby incorporated into the contract per attached SOW.

• Increase the base rate for two (2) Senior Level Developers

• Remove one (1) Journey Level Developer

All other terms, conditions, specifications and pricing remain the same. Per (DTMB) contractor (request/ proposal) and agency (request) agreement, and DTMB Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

CONTRACT SUMMARY

MDHHS

AGENCY NAME PHONE EMAIL

Multi-Agency and Statewide Contracts

Program Managers for

CHANGE NOTICE NO. 13 TO CONTRACT NO. 180000000550

John Moore 517-331-5065 MooreJ7@michigan.govDTMB

Pamela Myers 517-241-4237 Myersp3@michigan.govMDHHS

Michigan.gov/MiProcurement

Version 2021-1 1 of 4

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

Long Term Care Reimbursement – External Senior Developers

Period of Coverage:

01/01/2023-04/30/2026

Requesting Department:

Michigan Department of Health and Human Services

(MDHHS)

Date:

10/01/2022

Agency Project Manager:

Scott Werner Pam Myers

Phone:

517-335-4081 517-230-4879

DTMB Project Manager:

Pat Thelen

Phone:

517.282.8026

Brief description of services to be provided:

BACKGROUND:

Gainwell provides automation services to maintain and support numerous programs for the Bureau of Audit within DHHS.

Per Contract, 171-180000000550, Contract Change Notice (CCN) to increase the base rate for two vacant Senior Level Developers on the current Gainwell contract and remove one Journey Level Developer from the contract resulting in a zero-dollar CCN.

These two Senior Developers will assist with development activities as prioritized by DHHS per the current contract.

MDHHS requires Gainwell to estimate all projects and process them in accordance with MDHHS priorities. MDHHS will prioritize projects and expects Gainwell to assign appropriate staff to the prioritized projects.

PROJECT OBJECTIVE:

CCN to change the base rate for two Senior Level Developers, working full time, up to 100% remote, for the remainder of the current contract. These positions exist within the base contract but have been vacant due to the inability to find staff to fill the roles at the existing rates.

Removing the Journey developer and splitting that rate across the two vacant Senior positions will allow Gainwell to find qualified candidates to fill the roles.

Again, the increase in the base rate for the Senior Level Developers will be fulfilled by the reduction of the Journey Level Developer.

Version 2021-1 2 of 4

SCOPE OF WORK:

CCN to increase the base rate for two Senior Level Developers for the remainder of the base contract.

The original base contract hourly rate for Senior Developers on staff is $83.83.

The original base contract hourly rate for Senior Developer staff beyond originally contracted staff is $115.

The original base contract hourly rate for Journey Developers on staff is $69.69.

In year 3, 5, and 7, each staff rate increases by 3%. The first increase started on 5/1/2020, the second increase on 5/1/2022, and the third will occur on 5/1/2024.

The following table indicates the rates per those rate increases for staff already on the base contract:

Position Rate as of

05/01/2018 Rate as of 05/01/2020

Rate as of 05/01/2022

Rate as of 05/01/2024

Sr. Dev $83.83 $86.34 $88.93 $91.60 Journey Dev $69.69 $71.78 $73.93 $76.15

The following table indicates the rates per those rate increases for Senior Developer staff NOT on the base contract:

Position Rate as of

05/01/2018 Rate as of 05/01/2020

Rate as of 05/01/2022

Rate as of 05/01/2024

Sr. Dev $115.00 $118.45 $122.00 $125.66

We have two vacant Senior Developer staff positions, and one vacant Journey Developer staff position on the base contract.

Starting 10/01/2022, the “On Contract” Senior Developer rate is $88.93 per hour. The rate for a Senior Developer not on the base contract on that date would be $122.00.

This CCN is proposing to remove the Journey Developer from the base contract and use those funds to increase the base rate of the two vacant Senior Developer positions so that Gainwell has an opportunity to find qualified candidates at a rate that is more consistent with the industry.

Journey Developer Rate as of 10/01/2022: $73.93.

We have two vacant Senior Developer positions. If we split the $73.93 across those two vacant positions, we could increase the associated rate by $36.96 each, resulting in a rate of $88.93 + $36.96 = $125.89, which would cover the cost of finding Senior Developers that were not on the original base contract.

Version 2021-1 3 of 4

These funds are already available as part of the base contract, thus this becomes a zero dollar Contract Change Notice.

To summarize:

This CCN is to increase the base rate for two vacant Senior Developer positions from $88.93 starting 05/01/2022 to $122.00.

Approving this CCN allows Gainwell to bring in the required Senior Level Developers under the base contract without the need to request additional funding.

TASKS:

Technical support is required to provide the level of service required by the DHHS Long Term Care Division to perform activities within the existing Contract.

DELIVERABLES:

Deliverables will not be considered complete until the Agency Project Manager has formally accepted them. Deliverables for this project include:

ACCEPTANCE CRITERIA:

Per contract 171-180000000550 Agreement

PROJECT CONTROL AND REPORTS:

Per contract 171-180000000550 Agreement

SPECIFIC DEPARTMENT STANDARDS:

Per contract 171-180000000550 Agreement

PAYMENT SCHEDULE:

Per contract 171-180000000550 Agreement

EXPENSES:

Per contract 171-180000000550 Agreement

PROJECT CONTACTS:

The designated Agency Project Managers are:

Scott Werner

Pam Myers Long Term Care Reimbursement Division

Bureau of Audit

Bureau of Audit Elliott-Larsen Elliott-Larsen 320 S. Walnut 320 S. Walnut Lansing, Michigan 48933 Lansing, Michigan 48933 517-335-5356 517-373-1508 WernerS4@michigan.gov Myersp3@michigan.gov mailto:WernerS4@michigan.gov mailto:Myersp3@michigan.gov

Version 2021-1 4 of 4

The designated DTMB Project Manager is:

Pat Thelen DTMB Agency Services for MDHHS Grand Tower 235 South Grand Avenue, 9th Floor Lansing, MI 48933 517-282-8026 ThelenP@michigan.gov

AGENCY RESPONSIBILITIES:

Per contract 171-180000000550 Agreement

LOCATION OF WHERE THE WORK IS TO BE PERFORMED:

Consultants will work at:

This work may be performed 100% remotely within the U.S.

EXPECTED CONTRACTOR WORK HOURS AND CONDITIONS:

Per contract 171-180000000550 Agreement

PROJECT PLAN:

Per contract 171-180000000550 Agreement

Department of Technology, Management, and Budget

320 S. WALNUT ST., LANSING, MICHIGAN 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 12 to

180000000550Contract Number

Various

Katelyn LaHaye campbell@gainwelltechnologies.com

M. David Campbell, II

Conway, AZ 72034

GAINWELL TECHNOLOGIES LLC

VS0155947

517-214-8581

335 Ledgelawn Drive

(517) 388-7422 S

T A

T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

lahayek@michigan.gov

$10,307,533.39

May 1, 2018 April 30, 2026

MDHHS OFFICE OF AUDIT (OA) SYSTEMS MAINTENANCE & SUPPORT AND ENHANCEMENTS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2026

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $10,307,533.39

Effective October 24, 2022, the following amendment is hereby incorporated into the Contract, per the attached SOW, to clearly document the base rate for seven Gainwell staff that are supporting the Bureau of Audit for periods 05/01/2022 - 04/30/2024.

All other terms, conditions, specifications and pricing remain the same. Per (DTMB) contractor (request/ proposal) and agency (request) agreement, and DTMB Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

DESCRIPTION

MDHHS

Program Managers for

CHANGE NOTICE NO. 12 TO CONTRACT NO. 180000000550

John Moore 517-331-5065 MooreJ7@michigan.govDTMB

Pamela Myers 517-241-4237 Myersp3@michigan.govMDHHS

Version 2021-1 1 of 3

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

MFR BOA Current Gainwell Staffing Rates

Period of Coverage:

05/01/2022-04/30/2024

Requesting Department:

Michigan Department of Health and Human Services

(MDHHS)

Date:

10/01/2022

Agency Project Manager:

Scott Werner Pam Myers

Phone:

517-335-4081 517-230-4879

DTMB Project Manager:

Pat Thelen

Phone:

517.282.8026

Brief description of services to be provided:

BACKGROUND:

Gainwell provides automation services to maintain and support numerous programs for the Bureau of Audit within DHHS.

Per Contract, 171-180000000550, Contract Change Notice (CCN) to document the base rates for the seven existing staff within the contract.

PROJECT OBJECTIVE:

This CCN is to document the current staffing rates clearly within the contract.

SCOPE OF WORK:

CCN to document the base rate for seven Gainwell staff that are supporting the Bureau of Audit.

Version 2021-1 2 of 3

The following table indicates the rates for each staff member on the base contract:

Position Staff Member Rate

05/01/2022 – 4/30/2024 Application Development Manager David Rood $124.30 Senior Technical Business Analyst Vacant $88.94 Senior Web Admin/Application Developer Mark Fulton $95.36 Senior DB Admin/Application Developer Vacant $95.36 Expert Level Application Developer Kevin Faulkner $112.51 Senior Level Application Developer David Kuhn $88.94 Journey Software Developer Vacant $73.93

NOTES:

• We have two vacant Senior Developer staff positions, and one vacant Journey Developer staff position on the base contract.

• Due to rounding of the rates in the table above, the annual amount calculates to $1,222,212. The contract indicates the annual cost for Year 5 and Year 6 as $1,222,206. Rounding the rates in the table above to 4 digits, would result in the calculated annual amount matching the stated contract value.

TASKS:

Per contract 171-180000000550 Agreement

DELIVERABLES:

Per contract 171-180000000550 Agreement

ACCEPTANCE CRITERIA:

Per contract 171-180000000550 Agreement

PROJECT CONTROL AND REPORTS:

Per contract 171-180000000550 Agreement

SPECIFIC DEPARTMENT STANDARDS:

Per contract 171-180000000550 Agreement

PAYMENT SCHEDULE:

Per contract 171-180000000550 Agreement

EXPENSES:

Per contract 171-180000000550 Agreement

Version 2021-1 3 of 3

PROJECT CONTACTS:

Scott Werner

Pam Myers Long Term Care Reimbursement Division

Bureau of Audit

Bureau of Audit Elliott-Larsen Elliott-Larsen 320 S. Walnut 320 S. Walnut Lansing, Michigan 48933 Lansing, Michigan 48933 517-335-5356 517-373-1508 WernerS4@michigan.gov Myersp3@michigan.gov

The designated DTMB Project Manager is:

Pat Thelen DTMB Agency Services for MDHHS Grand Tower 235 South Grand Avenue, 9th Floor Lansing, MI 48933 517-282-8026 ThelenP@michigan.gov

AGENCY RESPONSIBILITIES:

Per contract 171-180000000550 Agreement

LOCATION OF WHERE THE WORK IS TO BE PERFORMED:

Per contract 171-180000000550 Agreement

EXPECTED CONTRACTOR WORK HOURS AND CONDITIONS:

Per contract 171-180000000550 Agreement

PROJECT PLAN:

Per contract 171-180000000550 Agreement mailto:WernerS4@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 11 to

Contract Number 180000000550

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

May 1, 2018 April 30, 2023 3 - 1 Year April 30, 2023

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☒ 3 Years ☐ April 30, 2026

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$10,307,533.39 $0.00 $10,307,533.39

Effective 7/13/2022, the following amendment is hereby incorporated into this contract.

• The Contractor Contract Administrator is now Paul Saleh. For purposes of the eight (8) responsibilities listed in Section

1.201 of the Statement of Work, Paul Saleh names David Campbell as his designee. However, Paul Saleh will retain as an exclusive responsibility for the approval and execution of any Change Notices under this Contract (as per the definition of Contract Administrator in Section 1 (“Definitions”) of the Contract).

All other terms, conditions, and specifications remain the same. Per DTMB contractor (request/proposal) and agency (request) agreement, and DTMB Procurement approval.

STA

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GAINWELL TECHNOLOGIES LLC

355 Ledgelawn Drive

Conway, AR 72034

Paul Saleh

703-245-4600 paulsaleh@gainwelltechnologies.com

VS0155947

P ro g ram an ag er

Various MDHHS

C o n tract

A d m in istrato r Jennifer May DTMB 517-242-6664 mayj7@michigan.gov mailto:mayj7@michigan.gov

CHANGE NOTICE NO. 11 TO CONTRACT NO.

for

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov MDHHS Pamela Myers 517-230-4879 Myersp3@michigan.gov mailto:MooreJ7@michigan.gov

Department of Technology, Management, and Budget

Change Notice Number 10

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

☒ 3 Years ☐ April 30, 2026

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$6,565,746.79 $3,741,786.60 $10,307,533.39

DESCRIPTION

Effective 4/26/2022, Three (3) option years are being exercised and the contract is increased by $3,741,786.60. The revised contract expiration date is 9/30/2023.

Gainwell Technologies Contact Administrator has been updated to M. David Campbell, II.

All other terms, conditions, and specifications remain the same. Per DTMB contractor (request/proposal) and agency (request) agreement, DTMB Procurement approval, and State Administrative Board Approval on 4/26/2022.

STA

TE

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Conway, AR 72034

M. David Campbell, II

517-214-8581 campbell@gainwelltechnologies.com g an ag er n tract

A d m in istrato r Jennifer May DTMB

CHANGE NOTICE NO. 10 TO CONTRACT NO.

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov MDHHS Pamela Myers 517-230-4879 Myersp3@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 9 to

Contract Number 180000000550

CONTRACT SUMMARY

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

May 1, 2018 April 30, 2023 3 - 1 Year April 30, 2023

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$6,565,746.79 $0.00 $6,565,746.79

DESCRIPTION

Effective 11/9/2020, the following vendor name change is incorporated into this contract as follows:

From: DXC MS LLC To: Gainwell Technologies LLC

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency agreement, and DTMB Central Procurement Services approval.

S T A T E

O

N T R A C T

Conway, AR 72034

Rajaguru Ramiah

248-631-9253 rramiah@gainwelltechnologies.com

VS0155947

P ro g n a g e r

Various MDHHS

C o n tra ct

A d m in istra to r

Jennifer May DTMB

517-242-6664 mayj7@michigan.gov mailto:rramiah@gainwelltechnologies.com

CHANGE NOTICE NO. 8 TO CONTRACT NO. 180000000550

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov

MDHHS Pamela Myers 517-241-4237 Myersp3@michigan.gov

DXC MS LLC

1775 Tysons Blvd. , Ste 900

Tyson, VA 22102

Rajaguru Ramiah

248-631-9253 rramiah@dxc.com g n a g e r n tra ct

A d m in istra to

Jennifer May DTMB

Department of Technology, Management, and Budget

Change Notice Number 8

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$6,565,746.79 $0.00 $6,565,746.79

DESCRIPTION

Effective 8/1/2020, the following vendor entity change, consistent with the assignment of this contract from DXC Technology

Services LLC to DXC MS LLC, is incorporated into this contract as follows:

From: DXC Technology Services LLC To: DXC MS LLC

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency agreement, and DTMB Central Procurement Services approval.

S T A

N T R A C T mailto:rramiah@dxc.com

CHANGE NOTICE NO. 8 TO CONTRACT NO. 180000000550

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov

MDHHS Pamela Myers 517-241-4237 Myersp3@michigan.gov

S

A

DXC TECHNOLOGY SERVICES LLC

Tyson, VA 22102

Rajaguru Ramiah

248-631-9253 rramiah@dxc.com#mailto:rramiah@dxc.com

CV0063037

g n a g e n tra ct

A d m in istra to

Jennifer May DTMB

Department of Technology, Management, and Budget

Change Notice Number 7

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$6,565,746.79 $0.00 $6,565,746.79

DESCRIPTION

Effective 7/1/2019, The following amendment is hereby incorporated into the contract per attached SOW. This change includes the following:

Contractor Resource Change.

O

N T R A C T

CHANGE NOTICE NO. 7 TO CONTRACT NO. 180000000550

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB Jim Coggin 517-243-5265 CogginJ@Michigan.gov

MDHHS Pamela Myers 517-241-4237 Myersp3@michigan.gov

MICHIGAN DEPARTMENT OF TECHNOLOGY,

MANAGEMENT AND BUDGET

IT SERVICES

STATEMENT OF WORK

Project Title:

Cost Settlement CCN Key Resource Name Change

Period of Coverage:

07/1/2019-4/30/2023

Requesting Department:

Michigan Department of Health and Human Services (MDHHS)

Date:

03/26/2020

Agency Project Managers:

Pam Myers

Phone:

517-241-4237

DTMB Project Manager:

Jim Coggin

Phone:

517-335-7364

Brief Description of Services to be provided:

Per Contract, 171-180000000550, Contract Change Notice (CCN) to modify the name of a key resource on the original contract for the remaining period of the original contract, from 07/1/2019-4/30/2023.

The Bureau of Audit (BOA) requested to replace Bob Besinger who was named in the original contract as the Senior DB Admin/Application Developer, with Dan Ruch. The replacement actually occurred on 7/1/2019, therefore this request is back dated to the effective date of that change.

This is a $0 Contract Change Notice.

BACKGROUND:

DXC Technology Services, LLC Contract 171-180000000550, provides automation services to maintain and support numerous programs for Long Term Care (nursing home) and Audit areas in the health care facility rate setting, reimbursement and audit programs within the Bureau of Audit.

Technical Services:

This CCN is to change a key named resource Bob Besinger, with Dan Ruch.

PROJECT OBJECTIVE:

CCN to change a named resource for the remaining period of the existing base contract 7/1/2019-4/30/2023 for contractual service support for the MDHHS Office of Audit.

SCOPE OF WORK:

Per Contract, 171-180000000550, CCN to change a named resource for remaining contract period.

Description Total Cost July 2019 – April 2023 Contractual Services $ 0.00 Grand Total $ 0.00

Technical support is required to assist with the following tasks:

Per Contract, 171-180000000550

DELIVERABLES:

Deliverables will not be considered complete until the DTMB and Agency Project Manager has formally accepted them.

Deliverables for this project include:

Per Contract, 171-180000000550 Agreement

ACCEPTANCE CRITERIA:

PROJECT CONTROL AND REPORTS:

SPECIFIC DEPARTMENT STANDARDS:

Agency standards, if any, in addition to DTMB standards.

PAYMENT SCHEDULE:

The State will not pay for any travel expenses, including hotel, mileage, meals, parking, etc.

PROJECT CONTACTS:

Pam Myers

Office of Audit

Cass, 4th floor 32- Walnut Street Lansing, Michigan 48933 517-241-4237 Myersp3@michigan.gov

Jim Coggin DTMB Agency Services for MDHHS Chandler Plaza 300 East Michigan Ave.

Lansing, MI 48933

CogginJ@michigan.gov

AGENCY RESPONSIBILITIES:

LOCATION OF WHERE THE WORK IS TO BE PERFORMED:

EXPECTED CONTRACTOR WORK HOURS AND CONDITIONS:

Per Contract, 171-180000000550 Agreement and upcoming Contract Change Notice mailto:CogginJ@michigan.gov

DXC TECHNOLOGY SERVICES LLC

Tyson, VA 22102

Rajaguru Ramiah

248-631-9253 rramiah@dxc.com

CV0063037

Prog anager n tra ct A dm inistrator

Jennifer May DTMB

Department of Technology, Management, and Budget

Change Notice Number 6

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$6,565,746.79 $0.00 $6,565,746.79

DESCRIPTION

Effective 11/15/2019, The following amendment is hereby incorporated into the contract per attached SOW. This change includes the following:

• Contractor Resource Change

• Section 11.3 change of the Terms & Conditions

Please note the contract administrator has been changed to Jennifer May. All other terms, conditions, specifications and pricing remain the same. Per DTMB contractor, and agency agreement, and DTMB Central Procurement approval.

S T A

N T R A C T mailto:rramiah@dxc.com

CHANGE NOTICE NO. 6 TO CONTRACT NO. 180000000550

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB George Hamel (517) 335-3806 HamelG@Michigan.gov

MDHHS Pamela Myers 517-241-4237 Myersp3@michigan.gov mailto:HamelG@Michigan.gov

IT SERVICES

STATEMENT OF WORK

Project Title:

Cost Settlement CCN Senior Developer Skills Requirement Change Period of Coverage:

10/1/2019-4/30/2023

Requesting Department:

Michigan Department of Health and Human Services (MDHHS)

Date:

09/03/19

Agency Project Managers:

Pam Myers

Phone:

517-241-4237

DTMB Project Manager:

Jim Coggin

Per Contract, 171-180000000550, Contract Change Notice (CCN) to modify the skillset required for one (1) of the base contract Senior Software Developers for the remaining period of the original contract, from 10/1/2019-4/30/2023.

The Bureau of Audit (BOA) has indicated a desire to create a new, more tightly integrated application to support their business needs. Currently BOA business is supported by a multitude of loosely integrated applications that have been developed over the past twenty-five (25) years. Many of these applications have been developed using technology that was state-of-the-art back in the 1990’s, however, maintaining these and attempting to integrate these with the newer technology applications is becoming more and more difficult. In addition, we’ve recently migrated to the Next Generation Digital Infrastructure (NGDI) environment, and some of these old applications are requiring additional efforts to maintain and/or keep functioning in the new environment.

The BOA desires the development of a new system that encompasses the entire current suite, supporting their business from end-to-end, while also providing a more streamlined process that allows them to address recently passed Senate Bill 1038, and also address recent audit findings.

The Senate Bill pertains to response times for Michigan Department of Health and Human Services (MDHHS) to complete audits of Medicaid cost reports and subsequently complete settlements. The audit findings are in regard to the majority of Cost Reports having to be returned to the provider for issue resolution.

To achieve our goals, we need to automate and streamline our business processes, and we will need staff with the skillset necessary to make that happen.

This is a $0 Contract Change Notice.

The original contract required a Senior Technical Business Analyst with seven (7) years recent experience, who could translate Business need into high-level requirements as a member of the integrated team. This individuals primary responsibility was to document the business requirements into functional and technical designs. With the drive toward developing a new all-encompassing system, we require someone with a Senior Developer skillset rather than a Senior Business Analyst skillset. This individual must have the ability to lead projects throughout the development life cycle, through implementation and beyond to production support. The individual must show a desire to follow processes and must have a team player work ethic. The individual must have the ability to single handedly write, compile, debug and thoroughly test application software to ensure a high level of quality throughout the project lifecycle.

This individual must have experience that demonstrates:

• The ability to design and create a graphical user interface (GUI) that provides a rich, well-defined, and pleasant end user experience

• The ability to design, develop, debug, and test application changes to ensure quality results

• The ability to design database tables and complex queries/stored procedures within SQL Server

• The ability to write clear, concise test cases and plans for development, user acceptance, and production verification.

• Approximately three (3) to five (5) recent years of concentrated experience with most, if not all of, the following technologies:

o HTML5 o Javascript o Bootstrap o Angular JS o Breeze o JQuery o MVC, MVVM…etc o Microsoft Web APIs o Microsoft Visual Studio

The Senior Developer Named Resource is Peter Lunneberg. This resource is replacing Senior Business Analyst, Cynthia Webb.

DXC Technology Services, LLC Contract 171-180000000550, provides automation services to maintain and support numerous programs for Long Term Care (nursing home) and Audit areas in the health care facility rate setting, reimbursement and audit programs within the Bureau of Audit.

This CCN is to modify the required skillset from Analyst to Developer for the Senior role that has recently been vacated due to staff retirement. The rates for the Senior Technical Business Analyst and the Senior Level Application Developer are identical under contract at $83.83 per hour. This staff position is required by the contractor to accomplish the development of the new application as described above.

CCN to modify the skillset for the Senior Role for the remaining period of the existing base contract 10/1/2019-4/30/2023 for contractual service support for the MDHHS Office of Audit.

Per Contract, 171-180000000550, CCN to modify skillset for Senior role for remaining contract period.

October 2019 – April 2023 Contractual Services $ 0.00 Grand Total $ 0.00

Deliverables will not be considered complete until the DTMB and Agency Project Manager has formally accepted them.

Deliverables for this project include:

TERMS AND CONDITIONS:

Section 11.3 is hereby updated from "The administrative fee and purchasing activity report are due within 90 calendar days after the last day of each contract year" to "The administrative fee and purchasing activity report are due within 45 calendar days from the last day of each calendar quarter" and from “Itemized purchasing activity reports should be mailed to DTMB-Procurement and the administrative fee payments should be made by check payable to the State of Michigan” to “Itemized purchasing activity reports should be mailed to DTMB-Procurement and the administrative fee payments should be made online by credit/debit card (MasterCard, Visa or Discover), e-check/EFT (an electronic version of a paper check processed using a checking or savings account) or by check payable to the State of Michigan”.

Jim Coggin DTMB Agency Services for MDHHS Chandler Plaza 300 East Michigan Ave.

Lansing, MI 48933

CogginJ@michigan.gov mailto:CogginJ@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 5 to

171180000000550Contract Number

Various

Jarrod Barron rramiah@dxc.com

Rajaguru Ramiah

Tyson, VA 22102

DXC TECHNOLOGY SERVICES LLC

CV0063037

248-631-9253

1775 Tysons Blvd. , Ste 900

(517) 249-0406 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

barronj1@michigan.gov

$7,482,066.79

May 1, 2018 April 30, 2023

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

($916,320.00) $6,565,746.79

Effective 5/1/2019, the parties void Contract Change Notice 2 (CCN 2) prior to adding the two Senior Software Developers and reduce the contract by the $916,320.00 value of the CCN 2 statement of work. All other terms, conditions, specifications, and pricing remain the same. Per Contractor, agency and DTMB Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

Program Managers for

CHANGE NOTICE NO. 5 TO CONTRACT NO. 171180000000550

DTMB-IT George Hamel (517) 335-3806 HamelG@Michigan.gov

MDHHS Pamela Myers 517-241-4237 Myersp3@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 4 to

Contract Number 171-180000000550

Various

Jarrod Barron rramiah@dxc.com

Rajaguru Ramiah

Tyson, VA 22102

DXC TECHNOLOGY SERVICES LLC

CV0063037

248-631-9253

1775 Tysons Blvd. , Ste 900

(517) 249-0406 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

barronj1@michigan.gov

$7,371,402.79

May 1, 2018 April 30, 2023

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$110,664.00 $7,482,066.79

Effective 2/19/2019, the parties replace the statement of work in contract Change Notice 1 (CCN1) with the attached statement of work and add $110,664.00 to cover the cost differential (the total cost increases from the $276,336.00 stated in the CCN 1 to $387,000.00 herein). All other terms, conditions, specifications, and pricing remain the same. Per Contractor, Agency and DTMB Procurement approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

Program Managers for

CHANGE NOTICE NO. 4 TO CONTRACT NO. 171-180000000550

DTMB George Hamel 517-335-3806 HamelG@Michigan.gov

MDHHS Pamela Myers 517-241-4237 MyersP3@michigan.gov

IT SERVICES

STATEMENT OF WORK

Project Title:

Cost Settlement CCN Option Yr 1

Period of Coverage:

10/1/18-9/30/19

Requesting Department:

Michigan Department of Health and Human Services (MDHHS)

Date:

12/17/18

Agency Project Managers:

Pam Myers

Phone:

517-241-4237

DTMB Project Manager:

Kim Crawford

NOTE: This CCN replaces CN 01 – 180000000550. The reason for the replacement is due to the cost of these “extended” staff. CN 01 was based on extending two resources who were already on contract for an additional year.

These staff have since left DXC, and now we need DXC to hire new staff replacements. New staff cannot be acquired at the reduced rate, and therefore must be brought in at the higher rate stated in the contract for additional resources beyond those named within the contract. This CCN replaces CN 01 using the new staff rates, yet the statement of work remains the same as the original request.

Per Contract, 171-180000000550, Contract Change Notice (CCN) to exercise option year one (1) for the time period of 10/1/18-9/30/19 for an optional Journey Software Developer and Senior Software Developer support for development of a Foster Care Cost Reporting system, as well as enhancement to the Corrective Action Tracking System (CATS) for development of the Office of Retirement Services (ORS) environment.

The Foster Care Cost Reporting system will automate the current manual process of Cost Report submission and audit, and the system will be integrated with MILogin. This system will provide a mechanism to ensure the quality of the Annual Cost Reports and will place the burden of resolving the most common validation issues squarely on the Provider, thereby streamlining that process and freeing the Auditor from the current delays caused by communication during initial audit.

The Corrective Action Tracking system is a web-based application, available via MILogin. CATS allows users to track every step of the Audit process, including the receipt, progress and completion. This tracking includes Corrective Actions, Findings, Finding Parts, Responses, Recommendations, and in addition, provides a mechanism to store all the documentation that is amassed throughout the entire Audit process. This application has become invaluable for the Michigan Department of Health and Human Services (MDHHS), and now the ORS has indicated their need to utilize the application in the same way. The application is currently set up specifically for MDHHS, with only one environment.

Exercising this CCN will provide the resource necessary for the following enhancements to provide the ORS with their own segment in CATS:

• Make the necessary configuration and application changes within CATS to provide the ability for separate entities, ORS in this initial case, to utilize the application and maintain segregation of data from other entities.

Make these changes in such a way that other entities may be as seamlessly added in the future as possible.

• Upgrade the underlying technology from Silverlight to an HTML based solution

• Enhance Application Security

MDHHS requires DXC to estimate all projects and process them in accordance with MDHHS priorities.

MDHHS understands that it may not be possible to complete all aforementioned projects in the extension year given the stated staff requirements below. Due to this, MDHHS will prioritize projects and expects DXC to assign appropriate staff to the prioritized projects to ensure as many projects as possible can be accomplished within the given extension year. MDHHS requires project plans to be developed for any project approaching an estimated 90 calendar day duration.

support numerous programs for Long Term Care (nursing home) and Audit areas in the health care facility rate setting, reimbursement and audit programs within the Bureau of Audit, Reimbursement & Quality Assurance.

This extension contract requires two (2) full-time staff positions dedicated solely to providing enhancement and ongoing support to the Office of Audit systems. These staff positions are required by the contractor to accomplish the development of the aforementioned new applications, as well as necessary functions of system enhancements, database maintenance, web maintenance, network maintenance, and problem solving relative to application operations and data access. One Staff member will be a Journey Software Developer, and the other will be a Senior Software Developer.

CCN to exercise option year 1 for the time period of 10/1/18-9/30/19 for contractual service support for the Michigan Department of Health and Human Services (MDHHS) Office of Audit.

Per Contract, 171-180000000550, Contract Change Notice (CCN) to exercise option year one (1) for the time period of 10/1/18-9/30/19

October 2018 -September 2019 Contractual Services $ 387,000.00

Grand Total $ 387,000.00

Deliverables will not be considered complete until the DTMB and Agency Project Manager has formally accepted them. Deliverables for this project include:

Pam Myers Office of Audit

Cass, 4th floor 32- Walnut Street Lansing, Michigan 48933

Kim Crawford DTMB Agency Services for MDHHS Chandler Plaza 300 East Michigan Ave.

Lansing, MI 48933

CrawfordK5@michigan.gov

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 3 to

171180000000550Contract Number

CrawfordK5@Michigan.gov

Kimberly Crawford

Jarrod Barron rramiah@dxc.com

Rajaguru Ramiah

Tyson, VA 22102

DXC TECHNOLOGY SERVICES LLC

CV0063037

248-631-9253

1775 Tysons Blvd. , Ste 900

(517) 249-0406 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

517-335-7364

DTMB

barronj1@michigan.gov

$6,178,746.79

May 1, 2018 April 30, 2023

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ PRC ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$1,192,656.00 $7,371,402.79

Effective 12/11/2018, the parties add $1,192,656.00 to accommodate the costs of Contract Change Notices 1 and 2. All other terms, conditions, specifications, and pricing remain the same. Per Contractor, Agency, DTMB Procurement and State Administrative Board approval.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 2 to

171180000000550Contract Number

CrawfordK5@Michigan.gov

Kimberly Crawford

Jarrod Barron rramiah@dxc.com#mailto:rramiah@dxc.com#

Rajaguru Ramiah

Tyson, VA 22102

DXC Technology Services LLC

CV0063037

248-631-9253

1775 Tysons Blvd.

(517) 249-0406 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

517-335-7364

DTMB

barronj1@michigan.gov

$6,178,746.79

May 1, 2018 April 30, 2023

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ Direct Voucher (DV) ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $6,178,746.79

Effective 9/14/2018, the parties add the attached statement of work using $916,320.00 existing contract funds to add two additional Senior Software Developers for two years (10/1/18-9/30/20). All other terms, conditions, specifications and pricing remain the same.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

IT SERVICES

STATEMENT OF WORK

Project Title:

Cost Settlement CCN: 2 Additional Staff 2 Yrs

Period of Coverage:

11/1/18-10/31/20

Requesting Department:

Michigan Department of Health and Human Services (MDHHS)

Date:

07/16/18

Agency Project Managers:

Pam Myers

Phone:

517-241-4237

DTMB Project Manager:

Kim Crawford

Phone:

517-335-7364

Brief Description of Services to be provided:

Per Contract, 171-180000000550, Contract Change Notice (CCN) to request two additional Senior Software Developers for a period of two (2) years for the time period of 11/1/18-10/31/20. These staff are needed to address Long Term Care audit findings and to assist with crucial system changes to address Senate Bill 1038. Senate Bill 1038 seeks to amend 1939 PA 280 by adding:

• Section 111m(3) “The Department shall ensure that an audit of a Medicaid cost report filed by a nursing facility and the related settlement performed by the Department are completed not more than 18 months after the initial filing of the cost report.”

• Section 111m(7) IF an audit or settlement is not completed within 18 months as described in subsection (3), the Department shall accept the cost report as filed by the nursing facility and issue a settlement not more than 30 days after the end of the eighteen month described in subsection (3).

The audit finding is in regards to the majority of the Cost Reports we receive having to be returned to the provider for issue resolution. We must decrease the the timeframe of the audit process, and to do that, we need to put the ownness on the provider to fix the majority of these issues before they can even submit their costs to DHHS. To do that, we must enhance the Nursing Facility Cost Report (NFCR), and develop a Long Term Care (LTC) Settlement system.

Enhancing the NFCR will allow us to automate many of the common validation routines and place the burden of resolving the most common validation issues squarely in the hands of the provider. Currently the NFCR is a stand-alone Fat Client application that uses data files to process snapshot in time information. The Fat Client application is installed on third party machines and those third party users generate Cost Reports that are subsequently sent to DHHS for validation.

The first line of validation is then performed at DHHS, which then requires communication back and forth with the Provider to resolve data issues. By integrating this application within MILogin, the Providers can enter their data and be required to perform validation, prior to being allowed to “submit” the information to DHHS. This is critical in order to meet the requirements of Senate Bill 1038.

Developing the LTC Settlement system will automate the manual process that is in place today. Automating the transfer of data from the Optum reporting system, will decrease the human entry error, and allow automation of all steps throughout the Settlement process, increasing the efficiency of the Division.

MDHHS requires DXC to estimate all projects and process them in accordance with MDHHS priorities. MDHHS understands that it may not be possible to complete all aforementioned projects in the extension year given the stated staff requirements below. Due to this, MDHHS will prioritize projects and expects DXC to assign appropriate staff to the prioritized projects to ensure as many projects as possible can be accomplished within the given extension year. MDHHS requires project plans to be developed for any project approaching an estimated 90 calendar day duration.

BACKGROUND:

DXC Technology Services, LLC Contract 171-180000000550, provides automation services to maintain and support numerous programs for Long Term Care (nursing home) and Audit areas in the health care facility rate setting, reimbursement and audit programs within the Bureau of Audit, Reimbursement & Quality Assurance.

This extension contract requires two (2) full-time staff positions dedicated solely to providing enhancement and ongoing support to the Office of Audit systems. These staff positions are required by the contractor to accomplish the development and enhancement of the aforementioned applications, as well as necessary functions of system enhancements, database maintenance, web maintenance, network maintenance, and problem solving relative to application operations and data access. Both Staff members will be Senior Software Developers.

PROJECT OBJECTIVE:

CCN to add two (2) Senior Software Developers for a period of two (2) years for the time period of 11/1/18-10/31/20 for contractual service support for the Michigan Department of Health and Human Services (MDHHS) Office of Audit.

SCOPE OF WORK:

Per Contract, 171-180000000550, Contract Change Notice (CCN) to add two (2) Senior Software Developers for a period of two (2) years for the time period of 11/1/18-10/31/20.

Total Cost Description November 2018 - October 2020 Contractual Services Grand Total

$ 916,320.00

$ 916,320.00

TASKS:

Technical support is required to assist with the following tasks:

Per Contract, 171-180000000550

DELIVERABLES:

Deliverables will not be considered complete until the DTMB and Agency Project Manager has formally accepted them.

Deliverables for this project include:

Per Contract, 171-180000000550 Agreement

ACCEPTANCE CRITERIA:

Per Contract, 171-180000000550 Agreement

PROJECT CONTROL AND REPORTS:

Per Contract, 171-180000000550 Agreement

SPECIFIC DEPARTMENT STANDARDS:

Agency standards, if any, in addition to DTMB standards.

Per Contract, 171-180000000550 Agreement

PAYMENT SCHEDULE:

Per Contract, 171-180000000550 Agreement

EXPENSES:

The State will not pay for any travel expenses, including hotel, mileage, meals, parking, etc.

PROJECT CONTACTS:

The designated Agency Project Managers are:

Pam Myers Office of Audit

Cass, 4th floor 32- Walnut Street Lansing, Michigan 48933 517-241-4237 Myersp3@michigan.gov

The designated DTMB Project Manager is:

Kim Crawford DTMB Agency Services for MDHHS Chandler Plaza 300 East Michigan Ave.

Lansing, MI 48933 517-335-7364 CrawfordK5@michigan.gov

AGENCY RESPONSIBILITIES:

Department of Technology, Management, and Budget

525 W. ALLEGAN ST., LANSING, MICHIGAN 48913

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

Change Notice Number 1 to

171180000000550Contract Number

CrawfordK5@Michigan.gov

Kimberly Crawford

Jarrod Barron rramiah@dxc.com

Rajaguru Ramiah

Tyson, VA 22102

DXC Technology Services LLC

CV0063037

248-631-9253

1775 Tysons Blvd.

(517) 249-0406 S T A T E

P ro g n a g e r

C o n tra ct

A d m in istra to r

C O

N T R A C T O

R

DTMB

517-335-7364

DTMB

barronj1@michigan.gov

$6,178,746.79

May 1, 2018 April 30, 2023

MAINTENANCE AND SUPPORT OF MDHHS OA SYSTEMS

April 30, 2023

INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

3 - 1 Year

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

☐ P-Card ☐ Direct Voucher (DV) ☐ Other ☐ Yes ☒ No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

☐ ☐ April 30, 2023

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$0.00 $6,178,746.79

Effective 9/14/2018, the parties add the attached statement of work using 276,336.00 existing contract funds to add a Journey Software Developer and a Senior Software Developer for one year (10/1/18-9/30/2019). All other terms, conditions, specifications and pricing remain the same.

INITIAL EXPIRATION DATEINITIAL EFFECTIVE DATE

IT SERVICES

STATEMENT OF WORK

Project Title:

Cost Settlement CCN: 2 Additional Staff for One Year

Period of Coverage:

10/1/18-9/30/19

Requesting Department:

Michigan Department of Health and Human Services (MDHHS)

Date:

07/16/18

Agency Project Managers:

Pam Myers

Phone:

517-241-4237

DTMB Project Manager:

Kim Crawford

Per Contract, 171-180000000550, Contract Change Notice (CCN) to request an optional Journey Software Developer and Senior Software Developer support for development of a Foster Care Cost Reporting system, as well as enhancement to the Corrective Action Tracking System (CATS) for development of the Office of Retirement Services (ORS) environment, for a period of one (1) year for the time period of 10/1/18-9/30/19.

The Foster Care Cost Reporting system will automate the current manual process of Cost Report submission and audit, and the system will be integrated with MILogin. This system will provide a mechanism to ensure the quality of the Annual Cost Reports and will place the burden of resolving the most common validation issues squarely on the Provider, thereby…